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Opinion article
DOI: 10.1016/j.neucie.2021.06.003
Available online 4 July 2021
Endoscopic endonasal surgery during COVID-19 pandemic: Management guideline
Cirugía endoscópica endonasal durante la pandemia COVID-19: protocolo de actuación
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David Mato-Mañasa, Patricia López-Gómeza,
Corresponding author
patricia91lpz@gmail.com

Corresponding author.
, Jaime Viera-Artilesb, Víctor García-Milána, Carmelo Morales-Angulob, Isabel Ruíz-Garcíac, José Manuel Rabanal-Llevotc, María Carmen Fariñas-Álvarezd, María Henar Rebollo-Rodrigoe, Rubén Martín-Láeza
a Servicio de Neurocirugía, Hospital Universitario Marqués de Valdecilla, Santander, Spain
b Servicio de Otorrinolaringología, Hospital Universitario Marqués de Valdecilla, Santander, Spain
c Servicio de Anestesiología y Reanimación, Hospital Universitario Marqués de Valdecilla, Santander, Spain
d Servicio de Enfermedades Infecciosas, Hospital Universitario Marqués de Valdecilla, Santander, Spain
e Servicio de Medicina Preventiva, Hospital Universitario Marqués de Valdecilla, Santander, Spain
Received 10 December 2020. Accepted 30 March 2021
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Abstract

Current SARS-CoV-2 coronavirus pandemic is challenging medical and surgical activities. Specifically, within neurosurgery, endoscopic endonasal approaches pose a high risk of contagion for healthcare personnel involved in it. Initially, the recommendation was to avoid such surgeries. However, the pandemic has dragged on and new solutions must be proposed to continue carrying out these approaches safely. Given the lack of established protocols, we propose the following one, which concisely establishes the measures to be taken in both urgent and scheduled surgery. In addition, a new protection-aspiration device (Maskpirator) is described.

Keywords:
SARS-CoV-2
COVID-19
Endoscopic surgery
Skull base
Guideline
Resumen

La actual pandemia por coronavirus SARS-CoV-2 está planteando una serie de desafíos al modo en que ejercemos la actividad médica y quirúrgica. En concreto, dentro de la neurocirugía se ha visto que los abordajes endoscópicos endonasales suponen un elevado riesgo de contagio para el personal sanitario que interviene en la misma, por lo que, inicialmente, la recomendación fue evitar dichas cirugías. Dado que la pandemia se ha extendido en el tiempo y desconocemos cuándo se podrá controlar, se deben proponer nuevas soluciones para continuar con la realización de dichos abordajes de manera segura. Ante la falta de protocolos establecidos, planteamos el siguiente, en el que se establecen, de modo conciso, las medidas a tomar tanto en cirugía urgente como programada, además de la descripción de un nuevo dispositivo de protección-aspirado (Maskpirator).

Palabras clave:
SARS-CoV-2
COVID-19
Cirugía endoscópica
Base de cráneo
Protocolo

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